<!-- BEGIN navigation_buttons -->
<div id="dontprint">
	<p>
		<a href="{URL_BACK}" class="submit">{BUTTON_BACK}</a>
		<a href="javascript:window.print();" class="submit">{BUTTON_PRINT}</a>
	</p>
</div>
<!-- END navigation_buttons -->
<!-- BEGIN answer_sheet -->
<h1>{TXT_ANSWER_SHEET}</h1>
<h3>{TITLE}</h3>
<table>
	<tr>
		<td><strong>{TXT_USR_NAME}</strong></td>
		<td>:</td>
		<td>{VALUE_USR_NAME}</td>
		<td>&nbsp;</td>
		<td><!-- BEGIN user_matric --><strong>{TXT_USR_MATRIC}</strong><!-- END user_matric --></td>
		<td><!-- BEGIN user_matric_separator -->:<!-- END user_matric_separator --></td>
		<td><!-- BEGIN user_matric_value -->{VALUE_USR_MATRIC}<!-- END user_matric_value --></td>
		<td><!-- BEGIN user_clientip --><strong>{TXT_CLIENT_IP}</strong><!-- END user_clientip --></td>
		<td><!-- BEGIN user_clientip_separator -->:<!-- END user_clientip_separator --></td>
		<td><!-- BEGIN user_clientip_value -->{VALUE_CLIENT_IP}<!-- END user_clientip_value --></td>
	</tr>
<!-- BEGIN freefield_top -->
	<tr>
		<td>{TXT_FREE_FIELD}</td>
		<td>:</td>
		<td style="border-bottom: 1px solid black">{VALUE_FREE_FIELD}</td>
		<td colspan="6"></td>
	</tr>
<!-- END freefield_top -->
</table>
<br/ >
<p>{TXT_TEST_PROLOG}</p>
<!-- BEGIN question -->
<div class="ilc_Page" id="ilc_Page">
	<table border="0" cellpadding="0" cellspacing="0" width="100%" style="border: 1px solid black; margin-top:10px">
		<tr valign="top">
			<td width="10px" nowrap="true">
				<div class="question_title">{COUNTER_QUESTION}</div>
			</td>
			<td>
				<div class="question_title">{QUESTION_TITLE}</div>
			</td>
		</tr>
		<tr>
			<td></td>
			<td>{SOLUTION_OUTPUT}</td>
		</tr>
	</table>
</div>
<!-- END question -->
<!-- BEGIN bottom_table -->
<table class="freefield_bottom">
<!-- BEGIN freefield_bottom -->
<tr>
	<td><strong>{TXT_DATE}</strong></td>
	<td>:</td>
	<td>{VALUE_DATE}</td>
	<td>&nbsp;</td>
	<td><strong>{TXT_FREE_FIELD}</strong></td>
	<td>:</td>
	<td class="freefield_line"><img height="30px" border="0" src="{IMG_SPACER}" width="300px" /></td>
</tr>
<!-- END freefield_bottom -->
</table>
<!-- END bottom_table -->
<!-- BEGIN ruler --><hr /><!-- END ruler -->
<!-- END answer_sheet -->
<!-- BEGIN confirm -->
<p>
<form name="test_output" method="post" action="{FORMACTION}">
	<input type="submit" class="submit" name="cmd[confirmSubmitAnswers]" value="{BTN_OK}" />
	<input type="submit" class="submit" name="cmd[outTestSummary]" value="{BTN_CANCEL}" />
</form>
</p>
<!-- END confirm -->
